Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Jack, DPM

Individual provider Podiatrist · NPI 1780080812

Dr. Michael Jack, DPM is a Podiatry in Kent, Ohio. Graduated from Kent State University College of Podiatric Medicine in 2014, 12 years ago. Practices with United Podiatry Inc, a 4-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1930 State Route 59
Kent, OH 44240-4112
Phone: (330) 673-3505
Fax: (330) 673-4888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 E State St, Alliance, OH 44601-4936 — (330) 596-6000
  • 201 5th St Ne Ste 5, Barberton, OH 44203-3017 — (330) 864-8501
  • 2950 W Market St, Fairlawn, OH 44333-3614 — (330) 864-8501

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36.003804 (OH)

Record details

NPI number1780080812
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 18, 2014
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address1930 State Route 59, Kent, OH 44240-4112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice United Podiatry Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kent